I’ve finally found my groove with our EMR. Maybe I’m even starting to like it. A few weeks ago I got a new iPad, this time a Mini, which lets me type with two thumbs the way some people text on a smartphone, and the voice transcription is good enough as long as you avoid fancy jargon and unusual generic drug names. Yesterday as I sat next to a patient and ...

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The health care AI space is frothy. Billions in venture capital are flowing, nearly every writer on the health care beat has at least an article or two on the topic, and there isn’t a medical conference that doesn’t at least have a panel if not a dedicated day to discuss. The promise and potential is very real. And yet, we seem to be blowing it. The latest example is an investigation ...

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Rates of physician burnout are rising, and many physicians cite their electronic health record (EHR) as the primary culprit. That’s no surprise, since doctors spend twice as much time on electronic health record (EHR) systems and deskwork as they do directly interacting with patients. Let that sink in for a moment. Imagine if an airline pilot spent six hours documenting every detail of a ...

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An app to diagnose melanoma, it sounds convenient and less expensive than going to the dermatologist. But what if you were told that the app had an error rate of 30 percent, would you still take the risk? The advent of digital media has broken physicians’ monopoly on health information, and this freedom comes at a price. Misinformation isn’t just a political issue, but a problem with ...

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Tele-empathy is not being empathetic over the phone. It is not crying in the sad parts of your favorite TV show. It is not beaming empathetic thoughts magically across time and space. No, tele-empathy is a technology. I should rather say, it's a group of technologies recently being created to increase the empathy of health care providers. "This is rich," you might say coming from an industry that brought us ...

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In days of yore, people in distress usually turned to family, friends and occasionally the clergy for help but for many years now, much of the burden of dealing with human misery has been transferred to medical professionals. Going forward and given that the iPhone and social media are ubiquitous in the daily lives of most of us, it is probably no surprise that the latest psychological support system comes ...

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An exchange between former Vice-President Joe Biden and EPIC CEO Judy Faulkner at a Biden Cancer Initiative event has again elevated the discussion of patient access to their medical records. You can read the discussion on Politico. However, Biden’s main point was that patients needn’t justify their claim to their own EHR records. In fairness to Ms. Faulkner, they did express a common view: medical records are too complex for ...

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How does the EHR drive burnout? Let’s count the ways. By understanding this, we can develop countermeasures to lower the impact and reduce the risk of physician burnout. We’ve all seen the studies that show that for every hour we spend with a patient, we spend two hours on administrative work, and we take hours of work home with us each night. But as we’ll see, it’s not all just about ...

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Electronic health records (EHR) have been used for several years. It is the form that physicians use to login sensitive information about their patient. Security and confidentiality of such delicate, valued protected health information (PHI) has historically been a concern, and rightfully so. Over the course of a few years, hacking on broad scales have been common occurrence and PHI is considered a high priority target by such malicious actions. An answer ...

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As many of you know, much of my focus has been on how we can improve health care information technology, and build on the systems that we currently have to make them more user-friendly and less cumbersome. At the crux of the problem is the issue of the disproportionate amount of time they take to navigate and how they turn the noble and personable art of being a doctor, into ...

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